Larisa Vivolo, LMHC in Jupiter, FL - Medicare Counselor Provider

Larisa Vivolo, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Jupiter, Florida. Her current practice location is 4425 Military Trl, Jupiter, Florida. You can reach out to her office (for appointments etc.) via phone at (561) 747-2775.

Larisa Vivolo is licensed to practice in Florida (license number 22146) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265116370.

Contact Information

	Larisa Vivolo, LMHC
	4425 Military Trl, Jupiter, FL 33458-4819
	(561) 747-2775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larisa Vivolo
Gender	Female
Speciality	Counselor - Mental Health
Location	4425 Military Trl, Jupiter, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265116370
Provider Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8426406711
Enrollment ID: I20231127003448

Medical Identifiers

Medical identifiers for Larisa Vivolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265116370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	22146 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larisa Vivolo allows following entities to bill medicare on her behalf.

Entity Name	Dna Comprehensive Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larisa Vivolo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larisa Vivolo, LMHC 335 Charroux Dr, Palm Beach Gardens, FL 33410-1615 Ph: (516) 661-5366	Larisa Vivolo, LMHC 4425 Military Trl, Jupiter, FL 33458-4819 Ph: (561) 747-2775

Reviews and Comments

Counselor in Jupiter, FL

Dr. Barbara Abernathy, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6038 Hollywood St, Jupiter, FL 33458 Phone: 561-707-9663
Dr. Anna Lisa De Lima, PH.D, LMHC, NCC, QS Counselor Medicare: Medicare Enrolled Practice Location: 131 Pennock Landing Cir, Jupiter, FL 33458 Phone: 561-201-8209
Cheryl Anne Checkers, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 W Indiantown Rd Ste 105, Jupiter, FL 33458 Phone: 561-814-6244
Jenelle Campos, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 N Highway A1a Ste A104, Jupiter, FL 33477 Phone: 305-975-4678
Crystal Dawn Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Us Highway 1 Ste 101, Jupiter, FL 33477 Phone: 561-356-0458
Jonathan Rios, M.S. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1660 Cypress Dr Ste 3, Jupiter, FL 33469 Phone: 540-388-7302
Megan Girard, Counselor Medicare: Medicare Enrolled Practice Location: 4425 Military Trl Ste 203, Jupiter, FL 33458 Phone: 561-747-2775

Larisa Vivolo, LMHC - Medicare Counselor in Jupiter, FL